Privacy Coordination

Proof of Coordination with Privacy.pdf

Policy Pulse Survey

Privacy Coordination

OMB: 0704-0570

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Shockley, Debra O CIV OSD OUSD POLICY (US)
Obrien, Kathleen M CTR OSD OUSD POLICY (US); McAlduff, Benjamin David CTR WHS ESD (US)
OSD Pentagon OUSD Policy List Records Management Team; Holly, Kelly B CIV OSD OUSD POLICY (US); Short,
Mary V (Vicki) CIV WHS ESD (US)
RE: Package Review - 0704 AAJX "Policy Pulse Survey"
Tuesday, October 10, 2017 6:24:06 PM
DD form 2936 Request for Approval of DoD Internal Info Collection.pdf

Good afternoon,
Benjamin,
I am the Information Management Officer for Policy.  I've provided in email traffic next under comments where
OSD/JS Privacy reviewed/coordinated on this package.  In addition the attached DD Form 2936 is provided as a
supporting document with signature to verify review from Policy Privacy Officer.  
Ms. Short, the Senior Privacy Analyst, OSD/WHS/ESD is copied in the event there are additional questions
concerning this coordination that may need to be addressed.
Thanks,
Debra Shockley
Deputy Director, Executive Secretariat, Rm 5E616
Policy Management & Operations
Office of the Under Secretary of Defense for Policy
Comm: (703) 614-0357  DSN: 224-0357
Email: debra.o.shockley.civ@mail.mil
SIPR:   debra.o.shockley.civ@mail.smil.mil
Privacy Act of 1974, as amended applies. This e-mail may contain information that is protected IAW DoD
5400.11R and is FOR OFFICIAL USE ONLY(FOUO)
From: Short, Mary V (Vicki) CIV WHS ESD (US)
Sent: Tuesday, May 30, 2017 6:26 AM
To: Shockley, Debra O CIV OSD OUSD POLICY (US) 
Cc: Newman-Warren, Kertina M CTR OSD OUSD POLICY (US) 
Subject: FW: Package Review - 0704-AAJX - Policy Pulse Survey (UNCLASSIFIED)
CLASSIFICATION: UNCLASSIFIED
Debra,
OSD/JS has no privacy concerns with this update. 
Vicki
Vicki Short
Senior Privacy Analyst
OSD/WHS/ESD
Records, Privacy & Declassification Division
Phone:  571-372-0444
mary.v.short.civ@mail.mil
From: Shockley, Debra O CIV OSD OUSD POLICY (US)
Sent: Friday, May 26, 2017 2:55 PM
To: Halabuk, Viki L CIV WHS ESD (US) ; Short, Mary V (Vicki) CIV WHS ESD
(US) 

Cc: Newman-Warren, Kertina M CTR OSD OUSD POLICY (US) ;
Obrien, Kathleen M CTR OSD OUSD POLICY (US) 
Subject: Package Review - 0704-AAJX - Policy Pulse Survey
Good afternoon Vicki,
Hope all is well. 
Policy would like to refresh the coordination of this package. There have been a few edits, however the status of the
package did not change the PIA, SORN, or PII collection status, will not be collected.
Viki Halabuk previous coordination in July 2016 read by :  The OSD/JS Privacy has no objection to this survey. 
Mr. Zahrt signed where we usually sign on the DD 2936.  Let me know if you need anything further. 
Thanks, Debra
Debra Shockley
Deputy Director, Executive Secretariat
Policy Management & Operations
Office of the Under Secretary of Defense for Policy
Comm: (703) 614-0357  DSN: 224-0357
Email: debra.o.shockley.civ@mail.mil
SIPR:   debra.o.shockley.civ@mail.smil.mil

Privacy Act of 1974, as amended applies. This e-mail may contain information that is protected IAW DoD
5400.11R and is FOR OFFICIAL USE ONLY(FOUO)

-----Original Message----From: Obrien, Kathleen M CTR OSD OUSD POLICY (US)
Sent: Tuesday, October 10, 2017 11:08 AM
To: McAlduff, Benjamin David CTR WHS ESD (US) 
Cc: OSD Pentagon OUSD Policy List Records Management Team ; Holly, Kelly B CIV OSD OUSD POLICY (US) 
Subject: RE: Package Review - 0704 AAJX "Policy Pulse Survey"
Good morning Benjamin,
Thanks so much for your comments! We appreciate it.
A few responses:
1. 76.5 is the correct number. In section 13c, I input 76.5 and it automatically rounded up to 77. If you click on that
field with your cursor, you can see that I added in 76.5. I'm not sure how to change the document's formatting to
account for this.
2. I will provide a way to identify Policy COO in the signature field.
3. In terms of the collection instrument, could you provide additional information about the reasoning for
coordinating with privacy? This is the first our office has heard of this requirement. 
Thank you so much again!

Katie O'Brien
[CTR, Booz Allen Hamilton]

Leadership & Organizational Development Office
Office of the Under Secretary of Defense for Policy
Pentagon, 5B683
Office: (703) 614-6763
LOD Website:  https://policy.sp.pentagon.mil/missionsupport/offices/lod

-----Original Message----From: Newman-Warren, Kertina M CTR OSD OUSD POLICY (US)
Sent: Friday, October 6, 2017 9:43 AM
To: Obrien, Kathleen M CTR OSD OUSD POLICY (US) 
Cc: Shockley, Debra O CIV OSD OUSD POLICY (US) ; OSD Pentagon OUSD
Policy List Records Management Team 
Subject: FW: Package Review - 0704 AAJX "Policy Pulse Survey"
Good Morning Katie,
Please see the message below from WHS, if you need any assistance please feel free to give us a call.
Best,
Kertina "Tina" Newman-Warren, CTR
Records Manager
E3 Federal Solutions, LLC.
OUSD(P)/PMO Executive Secretariat
Pentagon, 5E616
Direct)703-571-9253; Office)703-571-9255
NIPR:Kertina.m.Newman-Warren.ctr@mail.mil
SIPR: Kertina.m.Newman-Warren.ctr@mail.smil.mil
E3Fed:knewman-warren@e3federal.com
"in this office we don't do easy we make easy happen through hard work & learning"

Thank you for submitting the package for 0704-AAJX, "Policy Pulse Survey." I have completed my review of this
package and have a couple of comments and questions regarding some of the package elements.
All questions and comments related to the Supporting Statement are included as comments in the attached copy. All
other concerns are detailed below:
*83-I*
        o Total hours requested is listed as both 77 and 76.5. Which of these numbers is correct? 76.5 is the number
used throughout every other document, but if 77 is the accurate number, then the math must be done to account for
this.
        o The signature in Section 19 is not clearly identifiable. Please provide some way to identify the individual (in
this case, Policy's COO) who signed the field.
- Mandatory Coordinators
*Collection Instrument*
        o Has privacy reviewed this collection? Since the collection instrument collects some demographics data which
could be used to identify respondents, please upload proof of coordination with privacy on this collection to the IC
System. This can be in the form of an email or memo.
*Other*
        o There are numerous old copies of Supporting Statements and other documents uploaded to the IC System that
make reviewing this package extremely difficult. In the future, please utilize the version history feature of the IC

System when uploading documents. You can do this by checking the box "Add as a new version to existing files"
when you go to upload a document, and then uploading a document with the same exact file name as the previous
version. You must keep the file names the same for the feature to work.
Once all comments and requested changes are addressed, please upload the revised documents to the IC System
workflow for my office's review. I have now returned the workflow back to you so that you may begin work on
these revisions.
In the meantime, please let me know if you have any questions. Thank you!
VR,
Benjamin McAlduff
Information Management Analyst
Office of Information Management (OIM)
DoD/WHS/ESD/Directives Division
P: 571.372.8102
benjamin.d.mcalduff.ctr@mail.mil
https://ice.disa.mil/index.cfm?fa=card&sp=139129&s=1077&dep=*DoD


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File Modified2017-10-12
File Created2017-10-12

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